National Provider Identifier
Marissa Paige Macdonald, PA-C
Marissa Paige Macdonald, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Lake View, NY and a listed phone number of (716) 912-3514.
Profile Overview
- NPI
- 1962397331
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 09, 2025
- Last Updated
- June 09, 2025
Practice Location
- 6496 Hackberry Dr
- Lake View, NY 14085-9578
Phone: (716) 912-3514
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1962397331
- Entity Type
- Individual
- Last Name
- Macdonald
- First Name
- Marissa
- Middle Name
- Paige
- Credential
- PA-C
- Mailing Street Address
- 6496 Hackberry Dr
- Mailing City
- Lake View
- Mailing State
- NY
- Mailing ZIP Code
- 14085-9578
- Mailing Country
- US
- Mailing Phone
- (716) 912-3514
- Practice Street Address
- 6496 Hackberry Dr
- Practice City
- Lake View
- Practice State
- NY
- Practice ZIP Code
- 14085-9578
- Practice Country
- US
- Practice Phone
- (716) 912-3514
- Enumeration Date
- June 09, 2025
- Last Updated
- June 09, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 09, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)